MEDICARE: DR. LISA MARIE AVIRETT EDD, LMFTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	20466A	NC

General Provider Information

NPI Number	:	1952177289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MARIE AVIRETT EDD, LMFTA

Provider Business Mailing Address
First Line	:	53 E MAIN ST STE H
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-3031
Country	:	US
Telephone Number	:	828-634-1005
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 E MAIN ST STE H
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-3031
Country	:	US
Telephone Number	:	828-634-1005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	06/06/2026

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